论系统安全在航空安全管理中的地位和作用

上海交通大学硕士学位论文论系统安全在航空安全管理中的地位和作用姓名：郭富申请学位级别：硕士专业：公共管理指导教师：叶江20050508ONTHESTATUSANDROLESOFSYSTEMSAFETYINAVIAVTIONSAFETYMANAGEMENTABSTRACTTheaviationsafetygraduallybecomesthepublicfocuswiththerapiddevelopmentofcivilaviationinChina.Thoughmassresourceshavebeenputintotheaviationsafetymanagementintermsofmanpower,financialandmaterialcapabilities,themeasurementusedforaviationsafetymanagementstillremainsasocalled“movementstyle”inconductingthesafetyenforcementbymeansofgeneralinspectionsandholdingconferencesduetolackofmaturedsafetymanagementtheory.ThetraditionalmethodinsafetymanagementofCivilAviationAdministrationofChina(hereinafterreferredtoasCAAC)canneverprincipallyresolvethesafetyrelatedissuesencounteredinthefieldofaviationsafetymanagement.WhiletheresearchontheaviationsystemsafetytheorywillhelpimprovingthesafetylevelofcivilaviationinChinaanditwillplayaveryimportantroleinsafetymanagement.Strengtheningthesystemsafetyresearchwillnotonlyfacilitatetodealwiththedilemmaof“development”and“safety”,butsolvethedifficultiesthatmayexperienceduringthetransitionfrom“movementstyle”methodtosystemsafetymethodaswell.Itwillraisethesafetylevelof,andpromotethesustainabledevelopmentof,thewholeaviationcommunity.Onthebasisofdiscussingtheconceptsofaviationsystemsafety,incorporatingthecasesofbothChinaandforeignnationsintoanalyzingourpracticesinhistoryandatpresent,thewritertriestoseethroughtheprobablereasonsortherootcauseswhyCAACislagbehindinaviationsafetymanagementintermsofmanagementsystemandmechanismbystudyingthetheoriesandresearchachievementsofaviation-advancednationsinthefieldofsystemsafety.Itisstatedthatthesystemsafetyplaysakeyroleinimprovingouraviationsafetylevel.AfterexploringhowtoestablishasystemsafetymanagementtheorywithChina’scharacteristics,Countermeasuresandsuggestionsofpopularizethesystemsafetyinaviationcommunityareputforward.TheaviationresourcemanagementisthekeyissuesforconductingtheresearchonsystemsafetyofCAAC.Itisemphasizedthattheinstitutionalcreationisthebestsolutionforthosequestionsresultedfromdevelopment.Thereplacementof“movementtype”managementmodewithpermanentmanagementmechanismasasafetymanagementmodeisalsodiscussedasreference.KeywordSystemSafetyAviationSafetymanagement200558200558200558MPA119147110:00143,000“—”212060/97/31,20514747-400A340-600A38080060/550/886/2211914911419201214221977327MPA2747747,58319592003119592003207091707070100200531520030.01520040.0051200537IATA200411959-2003119592003MPA320041842819452”19459002351620041115185720041121CRJ200531500200416-8219710206685122MPA4917“”2004“”62572272997-81181115-1857220055“”75002004“5002004”9500“MPA5”1.140“”“”4060196231963,196319661969197819693FlightSafetyInformationTHIRDQUARTER2004MPA61.2601964196719736070411970219733197441975519771.3208020805119844FlightSafetyInformationTHIRDQUARTER20045FlightSafetyInformationTHIRDQUARTER2004MPA721985319882.1602.2MPA83.13.21969-882MPA9,/3.32.62.MPA10-3.63.MPA11“”4.1/4.MPA12737TWA80074774749.114.2MPA13211994200314%5.1994200370%4.3(6.)MPA142004966.MPA15MPA1620220042301.22737.720041200975225133()1273880200475468020011386200423018837MPA171.1,1+121.27*2005MPA18-7.8193130303005009,000338FlightSafetyInformationFOURTHQUARTER2004MPA19“”“”--------2003MPA20“--”“”“”3.1MPA21“”3.2200561.2.3.4.MPA225.6.58.1.2.3.4.5.8.MPA239.1995-2003/MPA2419193“”9192119295“”193081193121619433319484551949996780193719471183194631.1MPA251994-2003075016906210027509731996851969-199425331994858470221919319211929519471937-194783194911195271951-564419536195511958219601171954-1957201958109---MPA26196241959-1962291967“”1963-19671619801968-19809119871981-19863119931987-1992332002,1993-200135(2002-)91950-20042791.1“”“”1937-1947118319471“”1.2“”“”“”MPA2719524451953119“”“”“”19585“”“117”“”196141984712“”501956-19581970-19771985-199329%18%34%1.2.MPA283.“”4.5.202020320“”“”“”“”“”“”“”MPA293.1151053.2“”9.“MPA30””“”“”3.3“”10MPA313.430,“”---3.4.15600100010:1100008000810“”36008000MPA321.50372202.3.3.4.2802004MPA3348,3293,632811,18619,58119,5815993,40012,0007541339.1%9%2010017902023003.52004610102005420MPA342005323“”31718235”5-63.61.1119931113“”12“”311,MPA352.1992112412??33.1977327583747“”“”“”“”200320031“”MPA36“”“”“”MPA36“”“”“”MPA371.1MPA38“12”1.2“12”MPA39”“”2.1,“”1978Deregulation19781983197919881987“”198619951997“”MPA402.220041027MPA412.32.4“”MPA42,,“”“”“”“”“”“”“”“”“”“”“”“”“”3.1MPA4310.10.“”MPA443.2QARMPA453.311.MPA4611.570-80%804.1“”4.2MPA47:1998910MPA48,5.1“”MPA49“”5.2“”“”“”1,000“”10,000200515010MPA505.3“”5.4TCASIIEGPWSMPA51ACARS3000FOQAQARQARQAR,QAR“”MPA52501.“”,701“”MPA531.2.3.“”4.“”“”5.“”“”“”“”“”“”“”“”“”6.7.“”MPA54[1]---1999[2]20021120[3]2005420[4]AviationSafetyManagement---IntroducingaSystemsApproachtoSafetyManagementTransportCanadaApril2001[5][]·1520041[6]20039[7]BarryStrauchInvestigationHumanError:Incidents,Accidents,andComplexSystemsASHGATEPublishingLimited2002[8]A.KellyandM.J.HarrisManagementofIndustrialMaintenanceBUTTERWORTHS1983[9]---2004.1[10]1999[11]FAASystemSafetyHandbookFAADecember30,2000[12]FAAFactSheetsFAAOctober2004[13]FlightSafetyInformationLewisEngineering&AssociatesTHIRDQU